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1790411296
MICHAEL CHRISTOPHER DETTLAFF
CHAPEL HILL, NC
NPI
1790411296
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NC A7838)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
MICHAEL CHRISTOPHER DETTLAFF PTA
101 GREEN CEDAR LN
CHAPEL HILL, NC 27517-7222
Phone number: 919-275-5998
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Mailing Address
MICHAEL CHRISTOPHER DETTLAFF PTA
1205 BRANUM CT
APEX, NC 27523-5527
Phone number: 919-275-5998
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